Lung Nodules on a CT Scan: What They Mean and When to Get a Second Opinion

Discovering a lung nodule on a CT scan can be alarming, but not all nodules are cause for concern. Lung nodules are small masses of tissue found in the lungs, often detected incidentally during imaging for unrelated health concerns. While most are benign, some may indicate early-stage lung cancer, making accurate interpretation critical. However, studies show that up to 25% of lung nodules are initially missed or underreported, which is why seeking a second opinion from a subspecialty-focused radiologist is essential.

What Are Lung Nodules?

Lung nodules are defined as small, round, or oval growths in the lung, usually less than 3 cm in diameter. They can be caused by a variety of factors, including:

  • Infections (such as tuberculosis or fungal infections)

  • Inflammatory conditions (like sarcoidosis or rheumatoid arthritis)

  • Benign tumors (such as hamartomas)

  • Malignant tumors, which could indicate lung cancer or metastasis from another cancer site

How Often Are Lung Nodules Missed or Underreported?

Radiology errors in lung nodule detection are more common than most patients realize. Research has shown that:

  • 20-25% of lung nodules are missed on initial CT scans due to their small size or their location near other lung structures.

  • Over 30% of cases with missed lung nodules led to delayed lung cancer diagnoses, significantly impacting treatment outcomes.

  • Even when nodules are identified, their risk level may be underestimated, leading to improper follow-up recommendations.

These errors occur for multiple reasons, including generalist radiologists interpreting the scans, time constraints, and the complexity of distinguishing between benign and malignant nodules. This is why a second opinion from a body imaging specialist who focuses on lung CT scans can be life-saving.

When Should You Get a Second Opinion on a Lung Nodule?

A second opinion can provide clarity and reassurance, especially if:

  • Your radiology report mentions a lung nodule but does not recommend specific follow-up.

  • The nodule is classified as “likely benign,” but you have risk factors like a history of smoking or a family history of lung cancer.

  • Your physician recommends waiting months for a follow-up scan, and you want to be sure that’s the right course of action.

  • The findings are unclear or you simply want peace of mind before making any medical decisions.

Why a Subspecialty Focused Radiologist Make a Difference

At MDView, we connect patients with body imaging specialists — radiologists who focus specifically on lung and chest imaging. These experts have extensive experience differentiating benign from suspicious nodules and providing accurate risk assessments. With MDView, you can:

  • Ensure your scan is reviewed by a radiologist who specializes in lung imaging.

  • Receive a detailed second opinion within 72 hours or less.

  • Gain confidence in your diagnosis and next steps.

Take Control of Your Lung Health

Lung nodules can be a source of anxiety, but a second opinion can provide much-needed clarity and confidence. If you or a loved one has been diagnosed with a lung nodule, don’t settle for uncertainty—get an expert review from MDView’s subspecialty radiologists today.

🔗 Click here to start your Chest CT second opinion now. Just upload your exam, complete the questionnaire to provide the radiologist with some history and your concerns, choose your radiologist, and submit your exam for an expert second opinion! 

Don't have your exam? No problem. MDView can get your exam on your behalf at no cost directly from the facility. Most facilities in the country send to us electronically, typically within 2 business days or less! Just click the button on the homepage of your MDView account that says Have MDView Get My Exam to get started! Visit https://app.mdview.com today! 


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